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Home My WebLink About7816-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~6~.6.l ...... Date ............. .~].y.....ii...., 19.7.~. THIS CERTIFIES that the building located at .S../8 ~l.d.~.e...P.~... (.C.B.~.~.).. Street Map No. ~ ......... Block No... ~ .... Lot No, . .~....~.o.u.t.b.,.o.l~..~l.,.~.; ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... kl~r~][..14:., 197~.. pursuant to which Building Pemit No.. dated ........... .~p.r.~_.. J. 1., 19.7.~.., was issued, and conforms to all of the require. ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . A. CCe,~.s. qFy..b.t~$~L.d, lr~g..(.f. 2~..S.g.a~gl) ................................. The certificate is issued to Eugene..~esnoCsk~. ...... .~rneI' ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~'~ :R.: ............................. UNDERWRITERS CERTIFICATE No.. ~.~,~, ...................................... HOUSE NUMBER ... 3.6.~.50 . .. Street..i~,~,e.. ~.o.¢~. (.C2~.7) ................... ........ Building Inspector( FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7816 Z Date ....................... ~.il ........ ~.1 .......... 19..7..~.. Permission is hereby granted to: .............. ~o~lz~L~ ............................................ to i~'uLld .. :ne:~ ..,f. arm...s'l;amd. ......... .~.As...p er.. S,u;f,f.., ,g, ov.,n:t;.~:., s'.e q.u-'t ,r.e me nt z.). ................. at premises located at .... -~/~--b[~(t~I-~O-.~.(~(.C-P,~.~-) ..................................................................... ............................................................ ~ou.t,ho.'L& ...~.~g~ ................................................................... pursuant to application dated ........................ 4~..~.'1. ......... ~ ........ 19.~2.~..., and approved by the Building Inspector. Fee $.:1-~..0.0 ........... Building Inspector BARNEY A. EVANS, P.E., L.S. 5~ 924-345! COUNTY OF' SUF'F'OI.K DEPARTMENT OF PUBLIC WORKS R. M. KAMMERER, P.E., L.S., COMMISSIONIER YAPHANK, NEW YORK, 11980 WILl. lAM S. M&TSUNAYE, JR, P.E , L.S, May 12, 1975 Howard M. Terry, Building Inspector Town of Sout~old Building Department Main Road Southold, New York 11971 Re: Cornell Construction Corp. S/S Middle Road,, C.R. 27 Dear Mr. Terry: This office answered a 239-k notice of the above-mentioned on April 8, 1975, with an approval of proposed building construction. Since the building has been located outside of the County Right-of-Way of C.R. 27, and the existing driveway is to be used as the only access, no permit will be required by this office under Section 136 of the Highway Law. Very truly yours, Edward L. Brown Assistant Civil Engineer Permit Section ELB:nm~ TOWN O F S D UTH [] LD OFFICE OF BUILDINB INSPECTOR TOWN r. LERK'S OFFIn. E~ SOUTHOI-D, N. Y. Mr. I~, ~tl~l~Z'e~ Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ..~,..:~..?...~..~......~....~.?.~...3?T~3LC~ .. has applied to the Town of Southold for a permit to construct a building o, .... .................................................... as shown on the attached plot plan, submitted in triplicate, dated ..... .~.O..?..~.. We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Very truly yours, Building Inspector Town of Southold, N. Y. BARNEY A, EVANS CHIEF DEPUTY COMMISSIONER COUNTY OF SUFFOLK DEPARTMENT OF PUBLIC WORKS R. M. KAMMERER, COMMISSIONER YAPHANK, NEW YORK, Ilg80 DATE: All'iii 8, 1975 Dear Sir: A permit under Section 136 of the Highway be required for access to County Road Four revised plans are required for the processing of this permit. Please submit the four plot plans, showing location of your driveway and road curb if any, to the above address as soon as possible. No work shall be done on the County Right-of-Way until this permit has been secured· WSM:ELB~ Very truly yours, · ~ tsun ye, . ~-~ Chief Engineer Form DPW-(~2 (5/73-D) TOWN OF SOUTHnLD OFFII-:E OF BUILDING INSPECTOR TOWN CLERK'S OFFInE SOUTHOLD, N. Y, Commissioner of Public Works Suffolk County Yophonk Ave., Yq3honk, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ....~.~.,.,~,....~..~.~',.~.'~'~ OJ;t has applied to the Town of Southold for a permit to construct a building ~/~ C"~, 8o~%~o1~v Iq,l, as shown on the attached plat plan, submitted in triplicate, dated ..... .?.??...~.. ~'1~1~ ............................................................ We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Building Inspector Town of Southold, N. Y. Ap~t~ 8, Z975 ~UR~ ecs'' 4 4~ FOI~M NO. 1 TOVtN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Th~s application must be completely filled m by typewriter or in ink and submitted in triplicate to the Buildin,. Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing location of lot and of buildings on premises, relahonship to adjoining premises or public streets or areas, and giwng a detailed description of layout ofproperb/must be drawn on the diagram which ~s part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit d. Upon approval of this application, the Building Inspector wdl ~ssue a Building Permit to the apphcant. Such permii shall be kept on the premises available for inspection throughout the work. e No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Ckcupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herren described. The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized inspectors on premises and in buildings for necessary inspections. i:~,gnarure at appl,cant, or name, it a corporation) ...... iiO~. ...~ , ~ ~ .......................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ....................................... COaStal'aa ~O!L' .............................................................................................................................. Name of owner of premises ...~....~~. &..~ .................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and title of co~orate officer) Builder's License No .... ~~...~~..g~ Plumber's License No ................................................. Electrician's License No ............................................ Other Trade's License No ............................................... 1 Location of land on wbch proposed work will be done. Map No ........ ~ .................... Lot No ...... ~ ........... Street and Number ...j/¢..~.~..~..{~j~) ........ ~~'" '~'~'~ ..................... ~'i'~i~ ........ 2 State existing use and occupancy of premises and in~ended use and occupancy of proposed construction: a Extsiting use and ~cupancy ..~l~J..~..~ ................................................................................... b. Intended use and ~cupancy ..... ~..~..¢~..~ ........................................................................ 3. Nature of work (check which applicable). New BuHdmg .. 'XI!~ ....... Add~hon ................. Alteration ............ Repair .................. Removal ................. Demohhor. ............ Other Work .............................................. (Descnphon) 4. Estimated Cost ........................................................... Fee ............................................................................... (to be pa~d on fihng th~s opphcat~on) 5 If dwelling, number of dwelhng umts .......................... Number of dwelhng umts on each floor .......................... If garage, number of cars ............................................................................................................................ 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ...~r~~ 7 Dimensions of ex~shng structures, ~f any. Front ..................... Rear ................................ Depth ............ Height ........................ Number of Stones .......................................................................................................... D~mensions of same structure with olterahons or add,hans Front ................................... Rear ....................... Depth ............................... Height .....................Number of Stories ............................... 8 Dimensions of enhre new construction' Front .......... ~1~ .................... Rear ............ ~2 ........... Depth ....~ ........ Height .................. Number of Stories ....... ~ ................................................................................ 9 S~ze of lot' Front ................................................... Rear ........................................ Depth .............................. 10. Date of Purchase ................................................... Name of Former Owner ....................................................... 1 1. Zone or use district in which premises are situated . ~&~"~tlt~ ............................................................... 12 Does proposed construchon wolate any Tatung law, ordinance or regulation ..... ~ ............................................ 13 WHI lot be regraded ....... ~ ........ WHI excess fill be removed from premises' ( ) Yes ( ~ No 14 Name of Owner of premises .]l~.~..~i~O~til~;~...&..~ir~L~dress ....... i~l~ll~,~l~ ..... Phone No ...................... Name of Architect ................................... Address ................................ Phone No ...................... Name of Contractor -.~1t~' '~l~..~:~tl~;-~t~t~ ........ Address .....~7~-~. ........ Phone No ...................... PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fron property hnes Gwe street and block number or descr~phon according to deed, and show street names and ind~cat, whether interior or corner lot. STATE OF NEW YORK, [ S S COUNTY OF ...~¢~O,~!...~. ............ f ' ................. ~11~ .~.~,..~..]1~ .......................... being duly sworn, deposes and says that he is the apphcar (Name of indiwdual signing contracf) above named. ,s ....... ............................................................ He the ....................... C~.. ?~_,~o~ntroctor, agent, corporo~ officer, eta ) of saNd owner or owners, and is duly authorized to ~erform or have performed the sa~d work and to make and fH this opphcation; that oil statements cantoned ~n th~s apphcahon are true to the best of his knowledge and belief; on tha~ the work will be performed ~n the manner set forth ~n the apphcation filed therewith. Sworn to before me this ? .................... ~. day of ................. ~1, ., 19.. ~ , Notary Public,. ....................... ............ county ............ .: .............................. ,. ............. ............................... '~' (SignotO'Fb of applicant)